Hospital formularies restrict evidence based practice

doi:10.1136/bmj.331.7515.515-b

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Joseph Kwan, specialist registrar in geriatric medicine (jk@1to1.org)

Elderly Care Research Unit, Southampton General Hospital, Southampton SO16 6YD

EDITOR—I agree with Maxwell that evidence based prescribing is complex and requires clinical experience, common sense, and some knowledge of clinical pharmacology.1 The drugs that I can prescribe are governed primarily by a strict hospital formulary and, in some cases, the primary care trust formulary. The formulary often has a limited number of drugs (often …